workers’ compensation fraud News

Ohio Workers’ Comp Bureau: 8 Fraud-Related Convictions Secured in August

The Ohio Bureau of Workers’ Compensation (BWC) reported it secured eight fraud-related convictions in August, bringing 2019’s total to 63. BWC assisted in the investigation that led to the Aug. 30 sentencing of nurse practitioner Amy Wood-Kirk of Grove City …

Found Guilty of Fraud, Former Deputy Sheriff Owes Ohio BWC $235K

A Zanesville, Ohio, man and former county deputy sheriff must reimburse the Ohio Bureau of Workers’ Compensation (BWC) nearly $235,000 in restitution after being convicted on Sept. 23 on workers’ compensation fraud charges A judge ordered Gregory A. Fitzer, 56, …

Man Convicted of Workers’ Comp Fraud Must Repay $7.2K to Texas Mutual

Texas Mutual Insurance Co. reported that a Travis County district court sentenced Ramon S. Flores of Kingwood on workers’ compensation fraud-related charges. Flores reported a job-related injury while working as a driver for Direct International Wine and Spirits in Houston …

Ohio Construction Company Owner Gets Prison for Worker’s Death

An Ohio construction company owner has been sentenced to three years in prison for failing to provide safety equipment when an employee fell from a roof and died. The Akron Beacon Journal reports 53-year-old James Coon was sentenced Sept. 6 …

Ohio Employer Pleads Guilty to Manslaughter After Worker Dies in Fall Off Roof

An Ohio construction company owner has pleaded guilty to involuntary manslaughter after a worker lacking safety equipment fell to his death from the roof of a three-story apartment complex. Owner James Coon, of Akron, also recently pleaded guilty in Summit …

Man Sentenced for Workers’ Comp Fraud Must Pay $26.4K to Texas Mutual

A man sentenced for workers’ compensation fraud must repay Texas Mutual Insurance Co. more than $26,000, a Travis County district court said. According to Texas Mutual, Ricky Allen Martinez of Sugar Land, Texas, reported a job-related injury while working as …

Ohio Freight Hauler Sentenced for Workers’ Comp Fraud, Must Repay $144K

The owner of a Mansfield, Ohio, freight hauling and trucking company convicted on four felony charges related to workers’ compensation fraud, has been ordered to pay the Ohio Bureau of Workers’ Compensation (BWC) $144,400 in restitution. The BWC reported that …

North Carolina Insurance Fraud Round-Up: January, February

The North Carolina Department of Insurance announced multiple fraud enforcement actions during the first two months of 2019. Insurance fraud costs American consumers approximately $80 billion dollars a year. According to North Carolina Insurance Commissioner Mike Causey, fraud costs North …

Before Heading to Prison, Attorney Apologizes for Major Workers’ Comp Fraud

Sean Enrique O’Keefe said he started out as a “humanistic attorney,” but he became a mercenary and then a criminal who netted $700,000 a year by sending San Diego workers’ compensation claimants to dirty medical providers. O’Keefe last Wednesday morning …

Texas Woman Sentenced for $46K Workers’ Comp Fraud

A Texas woman owes just over $46,000 to the state’s largest workers’ compensation insurance carrier after being sentenced for workers’ compensation fraud in a Travis County district court. According to Texas Mutual Insurance Co., Shannon Drew of Aubrey, Texas, reported …